Organization
WASATCH RPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FYANS (OWNER)
(801) 475-5254
Entity
Organization
Contact information
Practice address
5825 HARRISON BLVD, OGDEN, UT 84403-4316
(801) 475-5254
(801) 797-0278
Mailing address
5825 HARRISON BLVD, OGDEN, UT 84403-4316
(801) 475-5254
(801) 797-0278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
06/07/2024
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